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NPI 1467808618

NPI 1467808618 : DOCTX3 PLLC : IRVING, TX

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General NPI Number Information
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    NPI Number           |    1467808618
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOCTX3 PLLC 
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Dates
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    Enumeration Date     |    05/06/2016
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    Last Update Date     |    09/24/2025
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Provider Practice Location Address
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    Address Line         |    3014 N. O'CONNOR RD. SUITE 110
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75062
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    Country              |    US
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    Telephone            |    214-277-3404
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    Fax                  |    214-983-0301
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Provider Business Mailing Address
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    Address Line         |    PO BOX 734077 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75373-4077
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    Country              |    US
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    Telephone            |    214-983-0303
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    Fax                  |    214-983-0301
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     DANIELLE  LEMOINE MAXWELL 
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    Credential           |    
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    Telephone            |    214-983-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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